Organization
AJL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BRAYFIELD (PRESIDENT)
(787) 836-2424
Entity
Organization
Contact information
Practice address
607 CALLE DR LOYOLA, PENUELAS, PR 00624
(787) 464-4142
Mailing address
22 CALLE 25 DE JULIO, GUANICA, PR 00653-2110
(787) 464-7980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1585
PR
Other
Enumeration date
04/20/2015
Last updated
05/21/2018
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